WA HB1200

Requires the Developmental Disabilities Administration to submit a request to CMS by January 31, 2026, for waiver amendments allowing parents to receive payment for providing personal care services to their minor children with developmental disabilities

Limits paid parental caregiving to "extraordinary care" for children assessed in E classification or B high classification categories, meaning care that exceeds what a parent would normally provide for a child without disabilities

Allows parent caregivers to be employed as individual providers under RCW 74.39A.240, subject to the same training and oversight requirements as other individual providers who are parents of care recipients

Currently 41% of authorized personal care hours systemwide go unused due to caregiver workforce shortages, and Washington already permits parents to be paid caregivers for their adult children with disabilities

Defines "parent" to include natural parents, adoptive parents, stepparents, and legal guardians; "minor child" means those under age 18 who are administration clients